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HYDROCEPHALUS:  THE POSSIBLE RELATION OF A CONTRACTED PELVIS TO HYDROCEPHALUS DEVELOPING AFTER BIRTH

RUDOLPH J. E. ODEN, A.B., M.D.
JAMA. 1915;LXIV(10):816-817. doi:10.1001/jama.1915.02570360032015.
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While it is recognized that an obstruction of the foramen of Magendie or the aqueduct of Sylvius will cause hydrocephalus, yet, in searching the literature at my command I have failed to find an instance in which reference is made to delivery through a contracted pelvis as a possible cause of these lesions. For the present I wish to eliminate the developed congenital type of hydrocephalus and consider only those cases which appear normal at birth, but soon thereafter show abnormal cephalic development.

The pathologic findings of an advanced hydrocephalic, that is, the overdistended ventricles and their sequelae, require no reference in this connection, but the primary factors, that is, the occlusion of the foramen of Magendie or the aqueduct of Sylvius, do furnish special interest. The method of their occlusion, whether it be of an infectious or a mechanical nature, should be accepted as the primary factor for consideration.

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